Trans PE of the Respiratory System

Question 0

Sinus tracts

Answer 0

Blind pouches that open into the skin; indicative of pulmonary inflammation

Question 1

Where to pleximeter finger? With what part?

Answer 1

Hit distal pharyngeal joint with fingertip

Question 2

Flatness from resonance

Answer 2

Solid replaces air in lung; indicative of tumor, pleural effusion

Question 3

Dullness from resonant

Answer 3

Fluid / solid replaces air from lungs

Question 4

Resonance

Answer 4

Normal

Question 5

Hyperresonance

Answer 5

COPD, pneumothorax

Question 6

Tympany

Answer 6

Large pneumothorax

Question 7

Length of diaphragmatic excursion

Answer 7

5-6 cm; 1-1.5 ICS

Question 8

Normal breath sounds

Answer 8

• tracheal
• vesicular
• bronchovesicular
• bronchial

Question 9

Tracheal - where

Answer 9

Over trachea and mainstem bronchi

Question 10

Tracheal - why

Answer 10

Turbulent air flow in trachea

Question 11

Tracheal - IE ratio

Answer 11

1:2, 1:3

Question 12

Vesicular - why

Answer 12

Laminar airflow patterns

Question 13

Vesicular - IE ratio

Answer 13

3:1, 4:1

Question 14

Bronchovesicular - IE ratio

Answer 14

1:1

Question 15

Bronchial - IE ratio

Answer 15

1:1, 1:2

Question 16

Tracheal - which is greater, I or E

Answer 16

E

Question 17

Vesicular - which is greater, I or E

Answer 17

I

Question 18

Crackles

Answer 18

Discontinuous sounds

Question 19

Wheezes

Answer 19

High pitched, hissing, continuous

Question 20

Ronchi

Answer 20

Low pitched, continuous, during expiration

Question 21

What phase are ronchi heard, I or E

Answer 21

During expiration

Question 22

Types of crackle

Answer 22

Coarse, fine

Question 23

Coarse crackles

Answer 23

Low pitched, loud

Question 24

Fine crackles

Answer 24

High pitched, soft

Question 25

Pleural friction rub

Answer 25

Creaking sound like rubbing hair

Question 26

Pleural friction rub - when heard

Answer 26

Throughout inspiration and expiration

Question 27

Stridor

Answer 27

Very loud, musical

Question 28

Stridor - cause

Answer 28

Inflammation of larynx and mucosa

Question 29

Bronchophony

Answer 29

Clear voice sounds during ascultation due to fluid or solid instead of air

Question 30

Whispered pectoriloquy

Answer 30

Audible whispering due to better sound conduction brought about by solid or fluid in the lung

Question 31

Egophony

Answer 31

Goat like, nasal or bleating quality